Medicare Plan Lookup Official CMS data · Contract Year 2026
CMS 2026 data

2026 Medicare plan code

H1248-803-000

Blue adVantage (PPO) · Blue Cross and Blue Shield of Louisiana · State of Louisiana

Compact plan code: H1248803000

2026

Spaces or dashes work: H5216-435-002 · S2135 802

● CMS 2026 plan record

Blue adVantage (PPO)

H1248-803-000 State of Louisiana Local PPO Employer-only
Open in quick lookup
01

In-network

Inpatient hospital

inpatient coinsurance is selected but its percentage is missing

02

Emergency transport

Ambulance

Ground · in-network20% coinsurance
Air · in-network20% coinsurance
03

Emergency services

Emergency room

20% coinsurance

Waived if admitted within 72 hours

04

Medical maximum

Maximum out-of-pocket

In-network$6,751
Combined in + out$10,000
05

Skilled care at home

Home health

In-networkNo cost share reported
Out-of-network20% coinsurance
06

Monthly cost

Premium & giveback

Part C premiumNot reported
Consolidated C + DNot reported

Source trail

Official CMS, Contract Year 2026

Plan identity and benefits come from CMS PBP data. Premium and MOOP figures are cross-checked against the August 2026 Landscape release. Quick-reference values should be confirmed in current official plan documents.

PBP benefits ↗ Landscape data ↗

Same CMS contract

H1248-004-000 Blue adVantage Premier (PPO) State of Louisiana · Local PPO H1248-007-000 Blue adVantage Liberty (PPO) State of Louisiana · Local PPO H1248-014-000 Blue adVantage Thrive (PPO) North and Central · Local PPO H1248-801-000 Blue adVantage (PPO) State of Louisiana · Local PPO H1248-802-000 Blue adVantage (PPO) State of Louisiana · Local PPO

About this code

What H1248-803-000 identifies

H1248-803-000 is a Contract Year 2026 Medicare plan segment code. The compact form H1248803000 refers to the same normalized contract, plan, and segment shown on this page.

Medicare Plan Lookup uses official CMS data as a quick reference. Benefit details, eligibility, service-area rules, and cost sharing should be confirmed in the current Summary of Benefits or Evidence of Coverage.